Healthcare Provider Details

I. General information

NPI: 1194686501
Provider Name (Legal Business Name): OF THE RIVER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 NE HOSTMARK ST
POULSBO WA
98370-6662
US

IV. Provider business mailing address

2850 NW BUCKLIN HILL RD # 1101
SILVERDALE WA
98383-8513
US

V. Phone/Fax

Practice location:
  • Phone: 360-218-4456
  • Fax:
Mailing address:
  • Phone: 360-550-1803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRIA CAPRARO
Title or Position: THERAPIST, OWNER
Credential: LMHC, LPC
Phone: 360-218-4456